267:(worsening of symptoms) or chronic cough or wheeze for the past six months. Besides, a number of wheezing preschool children would have their symptoms resolved after they had grown up, unlike asthma which persists into adulthood. Preschool wheezing can be divided into "viral-induced wheeze" and "multi-trigger wheeze". Viral-induced wheezing accounts for about two-thirds of all preschool wheezes. The wheezing symptom is episodic and the child is completely normal in between wheezing episodes. It has a good prognosis and only supportive treatment is required. Meanwhile, multi-trigger wheezing is associated with allergy and a family history of asthma. Symptoms occur in between wheezing episodes and are likely to persist beyond early childhood. Due to difficulty in differentiating both types of wheeze, the diagnosis of viral-induced versus multi-trigger wheeze may be delayed for a period of time until its clinical course has become clear.
243:— is a harsh, high-pitched, vibrating sound that is heard in respiratory tract obstruction. Stridor heard solely in the inspiratory phase of respiration usually indicates an upper respiratory tract obstruction, "as with aspiration of a foreign body (such as the fabled pediatric peanut)." Stridor in the inspiratory phase is usually heard with obstruction in the upper airways, such as the trachea, epiglottis, or larynx; because a block here means that no air may reach either lung, this condition is a medical emergency. Biphasic stridor (occurring during both the inspiratory and expiratory phases) indicates narrowing at the level of the
138:
during breathing. For wheezes to occur, part of the respiratory tree must be narrowed or obstructed (for example narrowing of the lower respiratory tract in an asthmatic attack), or airflow velocity within the respiratory tree must be heightened. Wheezing is commonly experienced by persons with a
226:
via a stethoscope. Localized processes, such as the occlusion of a portion of the respiratory tree, are more likely to produce wheezing at that location, hence the sound will be loudest and radiate outwardly. The pitch of a wheeze does not reliably predict the degree of narrowing in the affected
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disease usually causes wheezing that occurs in the expiratory phase of respiration. As a rule, extrathoracic airway obstruction produce inspiratory sounds. Intrathoracic major airway obstruction produces inspiratory as well as expiratory sounds. Distal airway obstruction predominantly produces
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of wheezing is wide, and the reason for wheezing in a given patient is determined by considering the characteristics of the wheezes and the historical and clinical findings made by the examining physician.
222:
The location of the wheeze can also be an important clue to the diagnosis. Diffuse processes that affect most parts of the lungs are more likely to produce wheezing that may be heard throughout the
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cycle depending on the site of airway obstruction and its nature. The fraction of the respiratory cycle during which a wheeze is produced roughly corresponds to the degree of airway obstruction.
477:
Pasterkamp H, Tal A, Leahy F, Fenton R, Chernick V (July 1985). "The effect of anticholinergic treatment on postexertional wheezing in asthma studied by phonopneumography and spirometry".
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211:. Inspiratory wheezing also occurs in hypersensitivity pneumonitis. Wheezes heard at the end of both expiratory and inspiratory phases usually signify the periodic opening of deflated
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Godfrey S, Uwyyed K, Springer C, Avital A (March 2004). "Is clinical wheezing reliable as the endpoint for bronchial challenges in preschool children?".
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is less than 50% of normal. Wheezing heard in the inspiratory phase, on the other hand, is often a sign of a stiff stenosis, usually caused by
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maneuver that is not actually illegal, but relies on an element of deception or sleight of hand, being an intermediate between a
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The term "wheeze" is also used as a clinical condition describing wheezing in preschool children, termed as "preschool wheeze".
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Preschool wheezing is a clinical condition that describes wheezing preschool children that do not fulfill the criteria of "
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Sengupta N, Sahidullah M, Saha G (August 2016). "Lung sound classification using cepstral-based statistical features".
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207:, occurs throughout the inspiratory phase (i.e. is "holoinspiratory"), and is heard more proximally, in the
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683:
2nd ed. Oxford: Clarendon Press, 1989. OED Online Oxford
University Press. Accessed September 10, 2005.
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Shim CS, Williams MH (May 1983). "Relationship of wheezing to the severity of obstruction in asthma".
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263:" fully as asthma would require a person to demonstrate a history of at least three episodes of
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is a clinical symptom of a continuous, coarse, whistling sound produced in the respiratory
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Baughman RP, Loudon RG (November 1984). "Quantitation of wheezing in acute asthma".
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The presence of expiratory phase wheezing signifies that the patient's
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implies an inability to speak clearly, so in politics it refers to an
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708:(2nd ed.). Hagerstwon, MD: Lippincott Williams & Wilkins.
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Van Bever HP, Han E, Shek L, Yi Chng S, Goh D (November 2010).
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Earis JE, Marsh K, Pearson MG, Ogilvie CM (December 1982).
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897:- Multiple case studies with audio files of lung sounds.
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395:"An approach to preschool wheezing: to label as asthma?"
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meaning any external person or group beyond a secretive
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Meslier N, Charbonneau G, Racineux JL (November 1995).
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530:. CBS Publishers & Distributors. p. 372.
511:: CS1 maint: DOI inactive as of September 2024 (
251:, the point between the upper and lower airways.
143:; the most common cause of recurrent wheezing is
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37:"Wheezing" redirects here. For the Pokémon, see
706:Sapira's art & science of bedside diagnosis
740:Vocabulary.com: Joe Blow Accessed 02 July 2024
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301:is notably linked with the slang expression
729:Word Reference Wheeze Accessed 02 July 2024
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479:The American Review of Respiratory Disease
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183:Wheezes occupy different portions of the
239:. Stridor — the word is from the Latin,
325:(also called "crepitations" or "rales")
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1410:Symptoms and signs: Respiratory system
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399:The World Allergy Organization Journal
75:The sound of wheezing as heard with a
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147:, though it can also be a symptom of
27:Coarse whistling sound from breathing
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903:- sound files of breath sounds
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704:Sapira JD, Orient JM (2000).
553:Archives of Internal Medicine
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654:10.1183/09031936.95.08111942
411:10.1097/WOX.0b013e3181fc7fa1
235:A special type of wheeze is
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565:10.1001/archinte.143.5.890
491:10.1164/arrd.1985.132.1.16
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1233:Precordial catch syndrome
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1133:Cheyne–Stokes respiration
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685:http://dictionary.oed.com
681:Oxford English Dictionary
197:peak expiratory flow rate
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153:congestive heart failure
30:Not to be confused with
1316:Charcot–Leyden crystals
493:(inactive 2024-09-12).
155:, and certain types of
1033:Whispered pectoriloquy
456:10.1378/chest.86.5.718
164:differential diagnosis
757:Pediatric Pulmonology
604:10.1136/thx.37.12.923
1311:Curschmann's spirals
1159:Respiratory distress
998:Pleural friction rub
528:Essential Pediatrics
901:R.A.L.E. Repository
888:Audio Breath Sounds
192:expiratory sounds.
1352:pulmonary embolism
1324:chronic bronchitis
1164:Respiratory arrest
1143:Ataxic respiration
1138:Kussmaul breathing
1128:Biot's respiration
1123:Agonal respiration
1019:Elicited findings
963:Respiratory sounds
942:respiratory system
938:Signs and symptoms
893:2020-12-15 at the
860:External resources
769:10.1002/ppul.10434
690:2006-06-25 at the
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715:978-0-683-30714-6
647:(11): 1942–1948.
537:978-81-239-2334-5
526:Ghai, OP (2014).
271:To wheeze (slang)
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44:Medical condition
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1013:Death rattle
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123:tuberculosis
1338:sarcoidosis
1228:In children
1070:Prematurity
958:Stethoscope
869:MedlinePlus
189:Bronchiolar
185:respiratory
149:lung cancer
107:common cold
89:Pulmonology
77:stethoscope
55:Other names
1344:Kveim test
1330:Reid index
1265:Hemoptysis
1223:Chest pain
1183:Aerophagia
1023:Percussion
845:DiseasesDB
340:References
309:(See also
307:fraternity
289:workaround
281:unorthodox
249:subglottis
1270:Epistaxis
1178:Trepopnea
1173:Platypnea
1169:Orthopnea
1107:Bradypnea
1097:Tachypnea
1092:Hyperpnea
1050:Breathing
637:"Wheezes"
277:to Wheeze
205:monotonal
115:pneumonia
84:Specialty
1404:Category
1250:Cyanosis
1238:Pleurisy
1188:Asphyxia
1102:Hypopnea
1038:Egophony
1003:Fremitus
978:Crackles
891:Archived
785:25264776
777:14966812
688:Archived
429:23282943
375:27286184
323:Crackles
317:See also
303:Joe Blow
299:wheezing
227:airway.
103:bacteria
50:Wheezing
18:Wheezing
1203:Snoring
1116:Pattern
1077:Dyspnea
988:Stertor
983:Rhonchi
968:Stridor
663:8620967
622:7170682
573:6679232
499:3160273
464:6488909
420:3651058
329:Rhonchi
285:ethical
245:glottis
241:strīdor
237:stridor
231:Stridor
213:alveoli
209:trachea
136:airways
111:allergy
39:Weezing
1305:asthma
1285:Hiccup
1260:Sputum
993:Squawk
973:Wheeze
874:003070
839:786.07
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592:Thorax
571:
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291:and a
275:Since
261:asthma
201:tumors
179:Wheeze
145:asthma
132:wheeze
119:asthma
95:Causes
1255:Cough
1216:Other
1152:Other
1065:Apnea
824:R06.2
781:S2CID
444:Chest
224:chest
217:lungs
99:virus
32:Weeze
1291:COPD
1058:Rate
850:1715
834:9-CM
773:PMID
710:ISBN
659:PMID
618:PMID
569:PMID
532:ISBN
513:link
495:PMID
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